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General NPI Number Information
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NPI Number | 1447349147
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Entity Type | Individual
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Provider Name | ROSE MARY MOLITOR MS
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3950 3RD ST N
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City | SAINT CLOUD
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State | MN
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Zip | 56303-4033
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Country | US
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Telephone | 320-253-5930
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Fax | 320-258-4632
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Provider Business Mailing Address
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Address Line | 923 PARKVIEW LN
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City | SARTELL
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State | MN
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Zip | 56377-2227
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LP3492
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License Number State | MN
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